World Extreme Medicine Podcast

In this powerful episode, Eoin sits down with Ryan Ahlgren — a wilderness and humanitarian medicine practitioner whose career spans some of the most challenging environments on the planet.From frontline trauma care during the ISIL occupation in Iraq, to medevac operations in Ukraine, to six-week stints deep in the jungles of Papua New Guinea, Ryan shares what it's really like to provide medical care in the face of heat, hardship, and uncertainty. He also discusses his recent role in Antarctica and how diverse experiences have shaped his approach to both emergency and primary care.This episode explores:The realities of conflict and humanitarian medicineLessons in leadership, flexibility, and riskThe importance of ultrasound and sonography in remote settingsAspirations for the future – including medicine in spaceWhether you're a clinician, adventurer, or just fascinated by global health, this one’s for you.You can connect with Ryan on LinkedIn here.

Meet Shawna Pandya, Physician, Neuroscientist, and now Canada’s First Female Commercial Astronaut.In this inspiring episode of the World Extreme Medicine Podcast, we sit down with Shawna to unpack her journey from childhood dreams of space to preparing for her Virgin Galactic mission.We explore:Her selection as part of the Virgin Galactic research crewThe science behind her mission, including microgravity, diabetes research & emergency medicine in spaceHow she balances medicine, research, teaching, and astronaut trainingHer thoughts on the future of commercial spaceflight and why it’s not just for engineersThe power of mindset, resilience, and saying yes to big challengesWhether you’re a med student, space nerd, or someone chasing a big dream, this one’s for you!🛰️ Find out more about the WEM Conference & our Space Medicine Course: https://worldextrememedicine.com/extreme-medicine-courses/space-medicine-course/#SpaceMedicine #WomenInSTEM #WEMPodcast #ShawnaPandya #VirginGalactic #ExtremeMedicine

In this episode, we explore the deeply rooted and culturally rich world of First Nations healthcare in Australia with Dr Sarah Chalmers; Rural Generalist, former President of the Australian College of Remote and Rural Medicine (ACRRM), and President-Elect of the Rural Doctors Association of Australia.With over 15 years of experience working in East Arnhem Land and North Queensland, Sarah shares a powerful and personal insight into what it truly means to deliver care in remote First Nations communities, where connection to land, kinship, and culture profoundly shape every aspect of medicine.Together, we unpack the realities of working in low-resource environments, navigating environmental extremes, and building trust within culturally diverse and remote communities. Sarah speaks candidly about the ongoing impact of racism, the importance of cultural competence, and the role of traditional healing in creating meaningful, community-led healthcare.This conversation goes beyond clinical care to explore what it means to listen deeply, communicate with cultural humility, and show up for patients in ways that respect and honour their lived experience. It’s an emotional, honest, and essential discussion for anyone working in (or curious about) remote and rural medicine.This episode is part of our ACRRM series, spotlighting rural and remote healthcare professionals making a difference at the very edges of medicine.ACRRM acknowledges Aboriginal and Torres Strait Islander peoples as the custodians of the lands and waters where our members and staff work and live across Australia. We pay respect to their elders, lores, customs and dreaming. We recognise these lands and waters have always been a place of teaching, learning, and healing.⁠Learn more about ACRRM here.#RemoteMedicine #RuralHealthcare #FirstNationsHealth #CulturalCompetence #RuralMedicineAustralia #IndigenousHealth #CommunityLedCare #HealthcareAccess #CulturalHumility #ACRRM #MedicalPodcast #WEMPodcast #AustralianHealthcare

🎧 A quick note on audio quality: Due to remote recording, some parts of this episode may not be as clear as usual. We appreciate your patience and promise the insights are well worth the listen!What happens when critical care leaves the hospital and takes to the skies?In this episode of the World Extreme Medicine Podcast, we sit down with Mina Arsanious, an expedition doctor and anaesthetic registrar working in aeromedical retrieval with the Royal Flying Doctor Service (RFDS) in Australia.Mina shares real-life case studies from one of the world’s busiest retrieval services, highlighting the unique challenges of providing emergency care mid-flight, where turbulence, vibration, and limited resources mean every decision is critical.In this episode, we cover: How do you manage unstable patients mid-flight? The dangers of airway burns & prolonged retrieval times What happens when you run out of blood or fluids in the air? The impact of turbulence, extreme temperatures & vibration on patient care Why adaptability, communication & preparation are vital in retrieval medicineAeromedical retrieval is one of the most high-pressure, fast-paced fields in medicine, where there’s no hospital, no backup, and no room for mistakes. Whether you’re in healthcare or just fascinated by extreme environments, this episode pulls back the curtain on the realities of medicine in the air.Listen now & experience the world of aeromedical retrieval!Click here to find out more about Flying Doctors & to support the work of Mina and other doctors in outback NSW.#ExtremeMedicine #AeromedicalRetrieval #EmergencyMedicine #RoyalFlyingDoctors #WildernessMedicine #Podcast

In this episode, we dive into the fast-paced world of event medicine in remote Australia with Prashan Kuruppu, a rural generalist anaesthetist and Member of the Australian College of Rural and Remote Medicine (ACRRM) Assessment Committee, with extensive experience in Outback and retrieval medicine.From high-speed trauma and medical crises in extreme weather conditions to the unique challenges of remote evacuations and resource-limited environments, Prash shares firsthand insights into the unpredictable nature of event medicine.Beyond the clinical challenges, we delve into the critical role of teamwork, adaptability, and risk mitigation, as well as the immense satisfaction that comes with ensuring the safety of participants in these extreme settings.This episode is part of our ACRRM series, highlighting the remarkable work of rural and remote medical professionals pushing the boundaries of healthcare in extreme environments.⁠Learn more about ACRRM here.

53 Days. 700 Miles. Alone in Antarctica. What does it take to survive completely alone in one of the most extreme environments on Earth? In this episode of the World Extreme Medicine Podcast, we sit down with Cat Burford, also known as The Molar Explorer. A dentist by profession and an adventurer at heart, Cat took on a solo, unsupported ski expedition to the South Pole, covering over 700 miles in -40°C temperatures while pulling a 100kg sled. She shares: The moment that almost ended her expedition How she trained for the mental and physical toll of the journey The unexpected ways her medical background helped in the field What it’s really like to spend 53 days in total isolation Her biggest lessons in resilience, endurance, and adventure If you’re fascinated by extreme environments, human endurance, and the mindset required to push beyond limits, this is an episode you won’t want to miss. Follow Cat’s Journey:InstagramWebsite Learn more about World Extreme Medicine

In this episode we explore the evolution of remote and rural healthcare in Australia with Claire Arundell, a Rural Generalist Anaesthetist from country Victoria and Chair of the Australian College of Rural and Remote Medicine (ACRRM) Council. Claire shares her journey from completing her medical degree at Monash University to becoming an ACRRM medical educator, course facilitator, and passionate advocate for the next generation of rural generalists. Working across primary care and hospital settings in some of the most remote parts of Australia, including external territories like Norfolk Island, Claire combines advanced medical expertise with a deep connection to the communities she serves. Beyond her clinical and leadership roles, Claire’s story is as adventurous as it is inspiring. She and her partner live in a camper-van, driving slowly around Australia, where she spends her spare time hiking, scuba diving, and even pretending to surf. Her passion for rural health advocacy is matched by her dedication to showing future health professionals the incredible opportunities in rural medicine. This episode is part of our series showcasing the brilliant talent and impactful work of ACRRM members, who are driving excellence, innovation, and equity in rural and remote medicine. Learn more about ACRRM here.

Note: We apologise for any varying audio quality in this episode. As Faye joined us from Tonga with breaching whales in the background (how cool is that?!), there are some moments where the sound fluctuates. We believe the incredible content and unique perspective from (literally) the other side of the world was worth preserving, even if the audio isn't perfect. Thanks for understanding - sometimes catching our guests between adventures means working with what we've got! Join Sarah Spelsberg as she interviews emergency physician and global adventurer Faye Lee about the World Extreme Medicine Conservation Medicine Course in Namibia. From darting lions for health checks to working in resource-limited clinics, Faye shares her incredible experiences at N/a’an ku sê. Discover how this unique course combines wildlife conservation, community healthcare, and the management of human-wildlife conflicts in one of Africa's most fascinating countries. Learn about snake bite management, wildlife rehabilitation, and how local communities work together to protect both people and animals. Faye also shares inspiring insights about giving back to communities worldwide and seizing unconventional opportunities in medicine. Want to experience this yourself? The WEM Conservation Medicine Course offers hands-on experience with wildlife medicine, remote clinic work, and conservation efforts. Join us in Namibia for an unforgettable week that will change your perspective on medicine and conservation forever. Learn more about the Conservation Medicine Course here.

In this inaugural episode of our partnership with the Australian College of Rural and Remote Medicine (ACRRM), we journey into the heart of Australia's remote healthcare system with Marian Dover, ACRRM's 2024 Rural Registrar of the Year.    From performing emergency caesarean sections to building deep community bonds, discover how rural generalists are revolutionising healthcare in some of the most isolated parts of the world. Marian shares intimate stories of trust, resilience, and the unique rewards of practicing medicine where the nearest hospital is 827 kilometres away.    Join us as we explore ACRRM's vision of excellence in rural and remote medicine through the eyes of one of its most promising doctors.   Learn more about ACRRM here: https://www.acrrm.org.au/

Join primatologist Elodie Freymann as she reveals fascinating discoveries about how wild chimpanzees self-medicate using forest plant Alstonia boonei. Through nine months of field research, Elodie observed chimps selecting specific barks, leaves, and other plant materials to treat wounds and infections - practices that often overlap with traditional human medicine. She discusses groundbreaking findings in zoopharmacognosy (animal self-medication), the importance of preserving these forest "medicine cabinets," and what chimp healing behaviours can teach us about new medicinal compounds. From pro-social care among chimps to the intersection of traditional healing knowledge, this episode explores the remarkable intelligence of our closest animal relatives and their sophisticated relationship with medicinal plants. To find out more about Elodie's work click here. You can also read her full research paper here.

Join Sarah Spelsberg as she speaks with NASA experts John Haynes and Helena Chapman about how NASA's unique vantage point from space helps monitor and address global health challenges. Discover how satellite data is being used to track everything from air pollution and urban heat islands to disease outbreaks and extreme weather events. Learn about NASA's free resources for healthcare professionals and scientists, and hear about opportunities for involvement through internships and collaborations. Find out more: https://earth.gov Please note: there is some 'clicking' sounds at the start of this session that we were unable to remove - we have edited as much as possible and the sound should be less apparent from about the 10 minute mark.

Join Sarah Spelsberg as she interviews pioneering wildlife veterinary surgeon Romain Pizzi, who has performed groundbreaking surgeries in nearly 50 countries across six continents. From conducting the world's first keyhole appendectomy on a wild orangutan to performing brain surgery on a bear in the jungles of Laos, Romain shares incredible stories of improvising surgical equipment and pushing the boundaries of veterinary medicine in the most challenging environments. In this episode, discover how Romain uses everything from mattress pumps to teaspoons to save endangered species, and hear firsthand accounts of operating in conflict zones, dealing with waking tigers, and developing innovative surgical techniques for animals ranging from massive elephants to tiny tarantulas. This conversation offers a unique glimpse into the world of extreme veterinary medicine, where ingenuity and dedication combine to protect some of the world's most remarkable creatures. You can find out more about Romain, his work and get his book by visiting his website.

Explorer and BBC presenter Will Millard takes us deep into the jungles of Papua New Guinea, sharing his extraordinary experiences living with the Korowai tribe. From debunking myths about 50-meter-high tree houses to nearly starving during the rainy season, Will reveals the raw reality of jungle survival and indigenous life. He discusses how a near-death experience in 2012 transformed his approach to exploration, and shares intimate insights into the Korowai's spiritual beliefs and their complex relationship with the outside world. This episode offers a rare glimpse into one of the world's most remote cultures and the profound personal growth that comes from pushing beyond your comfort zone. You can find out more about Will, his expeditions & check out his newest publications here.

Join Sarah Spelsberg as she interviews emergency physician Faye Lee, who has created an extraordinary medical career spanning from Antarctic research stations to expedition ships. From performing emergency surgeries in remote locations to providing care on Indian reservations, Faye shares how embracing unconventional opportunities led her to practice medicine in some of the world's most extreme environments. Learn how her "work hard, play hard" philosophy and willingness to say "yes" to unexpected challenges has shaped a fulfilling career combining adventure with meaningful medical practice. This episode offers invaluable insights for healthcare professionals seeking to break free from traditional career paths.

In this episode host Eoin Walker delves into the remarkable humanitarian aeromedical retrieval mission carried out during the Russia-Ukraine conflict in April 2022. Guests Federico Ghio and Andrea Tomaselli share their firsthand experiences of using a long-range commercial Airbus A320 to evacuate vulnerable refugees from the war zone. Join us as we explore the innovative adaptation of a commercial airliner for medical purposes, the challenges faced during the operation, and the critical coordination between various agencies. Our guests discuss the importance of paediatric care in such missions, the logistical complexities of transporting individuals with varying medical needs, and the lessons learned for future large-scale aeromedical evacuations. This episode offers valuable insights into the potential of using commercial aircraft for humanitarian purposes and the power of multi-agency collaboration in crisis response. Whether you're a medical professional, aviation enthusiast, or simply interested in humanitarian efforts, this discussion provides a fascinating look into the intersection of commercial aviation and emergency medical services. Read the paper here. Note: This is an audio-only episode.

Join Sarah Spelsberg as she interviews Kevin Grange, firefighter paramedic and award-winning author, about his latest book "Grizzly Confidential." Dive into the fascinating world of North America's most fearsome predator, exploring the challenges of human-bear coexistence, the importance of conservation, and the surprising intelligence of these magnificent creatures. From Yellowstone to Alaska, Grange shares his experiences and insights, offering a unique perspective on our relationship with grizzly bears. You can meet Kevin at this years World Extreme Medicine Conference!

In this second part of our conversation with Tim Harvey, we delve into his journey through clinical education and his transition to medicine. Tim shares invaluable insights on teaching philosophy, managing change in healthcare settings, and the challenges of introducing new roles like nursing associates. He discusses the importance of balancing work and life, especially during intense humanitarian deployments. Tim also opens up about his preparation for upcoming overseas missions and the personal toll of such work. This episode offers a unique perspective on the evolving landscape of healthcare education and the dedication required for humanitarian work.

In this gripping two-part episode of the podcast, Eoin Walker sits down with Tim Harvey, a former humanitarian nurse turned medical student. Tim shares his harrowing experiences working in some of the world's most dangerous and desperate locations. From treating Ebola patients in Sierra Leone to managing mass casualties in war-torn Afghanistan, Tim provides a raw and unfiltered look into the realities of humanitarian work. He recounts heart-wrenching decisions, ethical dilemmas, and the constant threat to his own safety. Tim's story is one of resilience, compassion, and the harsh realities of global healthcare disparities. He discusses the emotional toll of his work, including PTSD and readjustment challenges, while still emphasising the profound impact and personal growth these experiences offered. This episode offers listeners a rare glimpse into the world of frontline humanitarian healthcare, exploring both its darkest moments and its capacity to inspire. Tim's journey from nurse to medical student provides unique insights into different healthcare roles in crisis situations. Whether you're interested in global health, considering a career in humanitarian work, or simply seeking to understand the complexities of healthcare in extreme environments, this episode promises to be both enlightening and deeply moving. If this is a field you're interested in, why not check out our Humanitarian Medicine Courses.

Join us for an insightful journey into the world of adventure travel with seasoned explorers Ffyon Smith (née Davies) and Gemma Aldridge. In this episode, our guests share invaluable tips on planning, safety, cultural sensitivity, and overcoming challenges in remote destinations. From navigating language barriers to handling emergencies, Ffyon and Gemma offer practical advice drawn from their extensive travel experiences across the globe. Whether you're a novice traveller or a seasoned adventurer, this episode is packed with wisdom to enhance your next expedition. Follow Ffyon & Gemma on Instagram to keep up to date on their adventures!

We're pleased to welcome back Daniel Grace to the podcast where he discusses the groundbreaking Livingstone Revisited 2024 expedition. This 2000km journey through Zambia aims to transform healthcare accessibility in remote areas using telemedicine, solar power, and innovative snake bite training. Learn how this modern expedition honors David Livingstone's legacy while addressing critical health challenges in Africa. To find out more and how to donate, click here. Daniel will be joining us this year at the World Extreme Medicine Conference to share this trip, you can meet him by joining us in Edinbrugh this November!

Sarah Spelsberg sits down with Teimojin Tan, emergency physician and participant on Season 9 of the hit survival show "Alone". Teimojin shares insights from his time in the wilderness of Labrador, discussing his unique approach to survival medicine, the mental challenges of isolation, and how his experiences have shaped his medical practice. From innovative uses of everyday items to the importance of resilience, this episode offers valuable lessons for both medical professionals and outdoor enthusiasts.

In this episode of the World Extreme Medicine podcast, host Eoin Walker speaks with polar expedition leader Kasper Jæger about the unique challenges of practicing medicine in the Arctic.  Kasper shares insights from his extensive experience guiding in Svalbard and Antarctica, discussing everything from frostbite prevention to evacuation challenges.  Learn about the psychological impacts of extended polar expeditions, the importance of personal admin in extreme environments, and how medical professionals can prepare for work in these harsh conditions. Whether you're considering a career in polar medicine or simply fascinated by survival in extreme cold, this episode offers a captivating look into one of the world's most challenging medical environments. Find out more about our Polar, Winter & Svalbard Expedition here.

Join experienced consultant orthopaedic surgeon Henrik Hedelin as he shares invaluable insights on haemorrhage control in resource-limited settings. Drawing from his extensive field experience in conflict zones and humanitarian missions, Henrik challenges conventional wisdom and offers practical, life-saving techniques for managing severe bleeding. This eye-opening discussion covers the nuances of wound packing, the overuse of tourniquets, and the critical importance of context-specific approaches to trauma care. Whether you're a medical professional, first responder, or anyone interested in emergency medicine, this episode offers essential knowledge that could make the difference between life and death in austere environments.

Join us for an exhilarating conversation with Sophie Camp, a GP trainee and Army Reservist, as she shares her incredible journey from medical school to high-altitude expeditions in the Karakoram. Sophie recounts her harrowing experiences during a tri-service expedition to Pakistan, where she faced rockfalls, avalanches, and life-threatening medical emergencies at extreme altitudes. Learn how her military training prepared her for these challenges and discover the unique opportunities available to medical professionals in the reserves. From sailing across the Atlantic to providing critical care in remote locations, this episode offers invaluable insights into the world of extreme medicine and the benefits of a portfolio career. Whether you're a medical student, a practicing physician, or simply curious about adventure medicine, this episode is packed with inspiration and practical advice for those seeking to push their boundaries in healthcare.

In this episode we welcome back Hareen De Silva, a GP who recently returned from a deployment to Gaza with CADUS, a German NGO. Hareen shares his experiences working in a trauma stabilisation point amidst active conflict, managing a diverse international team, and dealing with the psychological impact of humanitarian work in extreme environments. From mass casualty incidents to the challenges of daily life in a war zone, this episode offers a raw and insightful look into the realities of providing medical care in one of the world's most dangerous areas.

In this in-depth episode, Sarah is joined by the incredible Bill Griggs, a highly acclaimed Australian physician and trauma specialist who has left a mark on the field of medicine through his innovative contributions to trauma care and disaster response.  With his career spanning over four decades, Bill has been a true pioneer in the development of life-saving techniques, including the Griggs Technique, for aiding breathing issues.   Bill’s expertise extends beyond the boundaries of Australia as he has played pivotal roles in international disaster relief efforts, as well as in a number of military deployments, starting with the 1991 Gulf War, where he served on a US Navy hospital ship and aircraft carrier, a dedicated educator and leader in the healthcare community.   Alongside sharing his amazing stories of heroism, Bill talks about the impact these experiences had on his mental health and the importance of reaching out for help when you truly need it. Listen to Bill share his first-hand accounts & show why he is a true inspiration to all of us!

This week Lauren McKenna sits down with Tom Roffe-Silvester, co-founder and managing director of the Veterinary Task Force and Exped Vet. Tom shares his journey working with operational working dogs in the military and how this experience led him to create a company that provides essential veterinary care solutions for working dogs in challenging environments. He also discusses the groundbreaking new course, Expedition Veterinary Medicine, developed in collaboration with World Extreme Medicine. This course aims to empower veterinary and medical professionals with the skills and knowledge needed to excel in remote and austere settings. Join us as we explore the cutting-edge world of expedition veterinary medicine and the incredible impact it can have on animal welfare in extreme conditions.

Ben LaBrot, founder and CEO of Floating Doctors, joins us this episode where he shares his incredible journey of delivering healthcare to remote, underserved communities around the world. Ben discusses the challenges and rewards of providing medical care in resource-limited settings, the importance of building trust with patients, and the profound impact that humanitarian work can have on both healthcare providers and the communities they serve. From his accidental beginnings in Tanzania to his current work in Panama, Ben offers valuable insights into the world of global health, the power of experiential learning, and the importance of persistence and adaptability in the face of adversity. He also shares his vision for the future of Floating Doctors and how others can get involved in this life-changing work. Whether you're a healthcare professional, a student, or simply someone passionate about making a difference, this episode will leave you feeling inspired and motivated to take action. Join us as we explore the incredible world of Floating Doctors and discover how one person's passion can change countless lives.

In this podcast episode, we sit down with Jessica Thomas-Mourne, a specialist paramedic in critical care working with Devon Air Ambulance in the UK. Jessica shares her research on gender inequality within the pre-hospital emergency medicine environment, highlighting the challenges faced by women in this field and offering practical recommendations to bridge the gender gap. From biased recruitment processes to the need for better work-life balance, Jessica provides valuable insights into creating a more diverse and inclusive environment in air ambulance services. To read Jessica's recommendations, click here.

In this captivating episode, we are honoured to be joined by the esteemed Dr. Michael Harrison, MD PhD MPH FAsMA, a leading authority in the field of aerospace medicine. Dr. Harrison currently serves as the Chief Medical Officer of Hercules Medical Group, a renowned Texas-based entity dedicated to providing comprehensive medical care and consultation to Axiom Space and their astronauts. With an impressive background spanning over 12 years in aerospace medicine, Dr. Harrison also holds the prestigious position of Chief Medical Officer for Axiom Space. In this role, he advises the company's C-Suite on all aspects of human health and safety, offering invaluable risk analysis for off-nominal commercial spaceflight missions. Throughout the episode, Dr. Harrison delves into the unique challenges and considerations involved in packing medical kits and supplies for space missions. He shares his wealth of knowledge on managing health issues in microgravity environments and provides exclusive insights into the groundbreaking developments taking place at Axiom Space in the realm of commercial spaceflight. Join us as we explore the intricacies of packing both your medical kit and the rest of your gear for space, with special considerations that are essential for the success and safety of any mission. Don't miss this opportunity to learn from one of the foremost experts in the field and gain a deeper understanding of the fascinating world of space health and medicine.

In this episode of the World Extreme Medicine Podcast, host Eoin Walker speaks with Marius Rehn, Editor-in-Chief of the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, about the ins and outs of publishing research in an academic journal. They discuss the importance of aligning research with the scope of the chosen journal, common mistakes authors make when submitting manuscripts, navigating the peer review process, and tips for increasing publicity of published work. Rehn emphasises the importance of passing the "so what" test - ensuring research addresses a fundamental question that will benefit the community of practice and ultimately patients. He also highlights the need for brevity and conciseness, keeping in mind the busy clinician audience. Tune in for valuable insights on smoothly navigating the academic publishing journey from an expert editor's perspective.

In this episode, Sarah Spelsberg is joined by the brilliant Mabli Davies, an anaesthetics trainee and expert in women's health in extreme environments. Mabli shares her personal experiences and research on managing menstruation, pregnancy, and reproductive health in the world's most challenging conditions. Drawing from her master's dissertation on menstruation management and suppression in austere environments, Mabli provides invaluable insights, practical tips, and strategies for women facing physical, psychological, and environmental challenges during their menstrual cycles on expeditions. The conversation delves into the importance of preparation, hygiene, fitness, and sleep in supporting women's health in the wilderness. Mabli also discusses the role of expedition medics in promoting inclusivity and breaking the stigma surrounding women's health in extreme environments. This podcast is a must-listen for anyone interested in the intersection of women's health and adventure medicine.

Welcome to Diversity Week! In this special episode, a diverse panel of medical professionals, eye surgeon and Sikh warrior Pavandeep Singh, NHS & wilderness expedition Dentist Burjor Langdana, emergency physician and paediatrician Terez Malka, explorer, aquanaut, MD & Director of space medicine group Astronautics Institute Shawna Pandya, UK GP studying tropical medicine Chern Lim, and GP & humanitarian doctor Hareen Di Silva, share their unique journeys into expedition medicine. Despite coming from various backgrounds and facing challenges, they found their passion for practicing medicine in extreme environments by seizing opportunities, developing skills, maintaining fitness, and believing in themselves. The guests discuss the importance of mentorship, support networks, and the welcoming nature of the expedition medicine community. They emphasise that it's never too late to get started and encourage aspiring wilderness medics to dream big and take steps to pursue this fulfilling career path. Sign up to our newsletter & never miss an episode & find out about future releases before everyone else.

In this episode, Niccolo Stomeo, an anaesthesia and intensive care resident at Humanitas University in Milan, joins us to discuss his groundbreaking study on the role of remote teleradiology, X-ray, and POCUS at mass motorcycle events. Nico shares his firsthand experience from the 2021 International Six Days of Enduro, a challenging and dynamic race spanning a vast area between Lombardia and Piemonte in Italy. Throughout the conversation, we delve into the utility, limitations, and decision-making benefits of having portable digital X-ray and telemedicine available in remote field hospital settings. Nico highlights the importance of having a full team, including a radiology technician, nurses, doctors, and an orthopaedic surgeon, to maximise the effectiveness of this technology. We explore the challenges faced during the study, such as power supply, radiation exposure, and the need for reliable Wi-Fi and cellular connections to enable remote consultation with radiologists. Nico also shares the direct benefits observed, including the ability to provide definitive treatment on-site, reduce the burden on local healthcare systems, and allow athletes to continue racing when injuries are ruled out. Looking towards the future, Nico emphasises the need for larger, well-controlled studies to further validate the findings and improve external validity. He also stresses the importance of data collection and analysis in pre-hospital care settings to identify areas for improvement and advance the quality of care provided. Join us for this captivating discussion on the cutting-edge of emergency medicine in extreme environments, and discover how remote teleradiology is shaping the future of medical care at mass sporting events. To read Niccolo’s study, click here.

In this riveting episode of the World Extreme Medicine Podcast, we sit down with WEM faculty Lucy Williams, a seasoned paediatric nurse who recently returned from a life-altering deployment to Gaza with Médecins Sans Frontières (MSF). From the relative normalcy of Egypt to the war-torn streets of Gaza, Lucy takes us on an emotional journey through her experiences working in a hospital mere meters away from the heart of the conflict. She shares powerful stories of resilience, hope, and heartbreak, including the tale of a family struggling to survive the aftermath of a devastating blast. Discover the challenges faced by humanitarian workers in one of the world's most volatile regions, as Lucy provides a rare glimpse into the day-to-day realities of delivering critical care in the face of unimaginable adversity. Whether you're a healthcare professional considering a career in humanitarian aid or simply someone looking to better understand the human cost of conflict, this episode offers a raw, unfiltered look at the courage and compassion of those who risk everything to help others in need. You can also watch this episode over on our Youtube channel here.

In this conversation with Luca Carenzo, we delve into the complexities and challenges surrounding Exercise Associated Collapse (EAC). Drawing from a recent publication in the Journal of Science and Medicine in Sport titled "An Unusual Case of Marathon-related Exercise-associated Collapse: Case Report and Some Considerations for Medical Care at Endurance Mass Participation Events," we unravel a fascinating case that sheds light on the importance of a thorough diagnostic approach and multi-disciplinary collaboration in EAC management. Luca, an esteemed Anaesthetic and Critical Care consultant from Milan, Italy, shares his insights on empirically proven treatments for EAC and how this unique case has reshaped his perspective on the differential diagnoses in EAC. We explore the significance of patient-focused research, the power of intra-specialty collaboration, and the potential for EAC collated databases to advance our understanding of this complex condition. With a rich background working at The Royal London Hospital Adult Critical Care Unit, participating in mission work with Doctors without Borders, and serving as a faculty member at World Extreme Medicine, Luca brings a wealth of expertise to the discussion. Currently, he works at the Instituto Clinico Humanitas, Department of Anaesthesia and Intensive Care Medicine in Milan, and serves as a consultant for iHelp, an Italian critical care company dedicated to mass event medical care. Join us for an enlightening exploration of EAC that will challenge your assumptions and inspire a more comprehensive approach to patient care in endurance events. This paper is also mentioned in the episode: Sudden cardiac arrest in a marathon runner: a case report Please note: this episode was originally aired on ⁠The Pre-Hospital Care Podcast.⁠ World Extreme Medicine was given permission by the podcast host to share this episode.

In this episode of the World Extreme Medicine Podcast, we're taking you on a journey through the rugged, untamed wilderness of Sardinia, Italy, as we explore the legendary Selvaggio Blu expedition. Join host Eoin Walker as he sits down with Luca Alfatti, an experienced expedition leader, advanced paramedic, and faculty member with World Extreme Medicine, to uncover the secrets of this awe-inspiring trek. Listen as Luca takes you on an unforgettable journey through the rugged wilderness of Sardinia, Italy, exploring the legendary Selvaggio Blu expedition. Discover the challenges, triumphs, and life-changing moments that define this awe-inspiring trek, and learn valuable lessons in self-reliance, adaptability, and teamwork. Whether you're an aspiring expedition medic or an adventurer seeking to push your limits, this episode will inspire you to embrace the unknown and conquer the wild blue of Sardinia. To watch this episode, click here.

In this episode, we explore the fascinating world of drowning and cold water immersion with Mike Tipton, a leading UK academic in the field. Mike shares his insights on the current guidelines for pre-hospital management of drowning, the epidemiology of drowning, and the important efforts in public awareness and prevention. We delve into the drowning process, including the pathophysiology from the point of submersion and the concept of autonomic conflict. Prof. Tipton also discusses the prognostic factors for drowning survivors and the remarkable case reports of prolonged submersion in cold water. Additionally, we learn about the background of the "Float to Live" campaign and the challenges faced by organisations like the RNLI in effectively dealing with drowning prevention. Join us for an insightful discussion that takes us from the lab to lifesaving, as we explore the science behind one of the world's most overlooked public health issues. Please note: this episode was originally aired on The Pre-Hospital Care Podcast. World Extreme Medicine was given permission by the podcast host to share this episode.

Join us welcoming Ryan Atkinson, an award-winning hostile environment trained cameraman, back to the World Extreme Medicine podcast. In this thrilling episode, Ryan shares his experience filming the 2016 expedition to the heart of Africa, where he and a team of scientists immersed themselves in the active Nyiragongo volcano to study and discover the warning signs of a potential eruption. Ryan discusses the challenges of filming in one of the most remote and dangerous locations on Earth, the Virunga National Park in the Democratic Republic of Congo. He shares insights on the complex logistics, the ever-present environmental and human risks, and the emotional impact of witnessing the profound hope and resilience of the local communities living in the shadow of the volcano. From navigating the unpredictable weather conditions and noxious gases to managing team dynamics and conflicting goals, Ryan takes you on a captivating journey through the highs and lows of this life-changing expedition. He also emphasises the importance of effective teamwork, shared understanding of risk, and the role of experienced leadership in ensuring the success and safety of the mission. Tune in to this episode for a fascinating look at the world of extreme filmmaking and the power of storytelling to shed light on the complex interplay of nature, conflict, and the human spirit. You can learn more about Ryan's work here.

In this fascinating episode, we are joined by Jen Pond, a Doctor who has practiced medicine in some of the most remote and challenging environments on all seven continents. From providing primary care in the Indian Himalayas and managing anthrax outbreaks in rural Zambia, to supporting climbers at Everest Base Camp and treating severe frostbite in Antarctica, Jen has built an incredible breadth of experience in expedition and wilderness medicine. Currently, Jen works in Nunavut, Canada, delivering healthcare to the indigenous Inuit population in resource-limited settings, often as the sole doctor for hundreds of miles. She shares captivating stories and hard-earned wisdom from her diverse career journey. Jen discusses the challenges and rewards of practicing medicine in different cultures, the importance of being adaptable and finding support networks, and the privilege of a profession that allows one to connect with people in meaningful ways worldwide. Her inspiring reflections will resonate with anyone curious about the joys and difficulties of providing care in remote, underserved areas. Tune in for a compelling exploration of the art and science of medicine at the edges of the map, and hear Jen's advice for those aspiring to unconventional and fulfilling careers: "Take opportunities...We're so lucky, we have this profession that's transferable into every place with every person with every culture...Take advantage of it. Learn from it." You can contact Jen directly at jpfernie@gmail.com

Join us as we explore the groundbreaking work of the Norwegian Air Ambulance (NOLAS), one of the world's most advanced HEMS services, with special guest Marius Rehn, a luminary in pre-hospital critical care. Marius, a consultant anaesthesiologist, senior researcher, and professor, brings unparalleled insights into NOLAS's unique service model, which employs flight crews of nurses and doctors to deliver life-saving care across Norway. We'll delve into NOLAS's three key domains of service improvement—research, skill training, and innovation—and discover how they synergistically elevate patient outcomes. From cutting-edge studies on stroke care and cardiac arrest to the development of safe flight routes and a dedicated research helicopter, NOLAS's commitment to pushing boundaries in emergency medicine is truly inspiring. Marius will also share invaluable lessons for aspiring professionals seeking to emulate NOLAS's ethos of excellence in pre-hospital care. Buckle up for a captivating journey through the vanguard of HEMS, as we uncover the secrets behind this remarkable service.

In this episode Jamie Pattison, a winch paramedic, recounts his deployment to Morocco with UKISAR (U.K. International Search and Rescue) following the devastating earthquake. He shares the emotions of arriving onsite to mass destruction and loss of life, the resilience required for working 16 hour shifts, and the camaraderie that develops between rescue teams. Jamie compares the rigorous training that prepares UKISAR volunteers to the harsh realities witnessed, and discusses the mental health support available for aid workers. From aftershock tremors to minor injuries that disguise the true impact, Jamie gives a sobering account of the Morocco earthquake while highlighting the humanity and hope that emerges during crisis.

Joining us in this episode is the remarkably resourceful Kate Dawson, a rural general practitioner who has cared for the rugged Scottish islands of Uist for over 30 years. From managing trauma cases with scarce resources to coordinating care across isolated communities, Kate brings us her invaluable perspective from the remote frontlines. She reveals the personal touches in building longtime doctor-patient relationships, the intricacies of rural healthcare logistics, and the nuanced understanding needed while operating in an austere setting. We'll also uncover how Kate's medical career blossomed from an early international health volunteering stint in Nigeria to settling into island life in the Outer Hebrides. Together, we grapple with the demands of serving as a rural GP - leading tiny teams, handling emergency situations, and keeping up with ever-evolving best practices. Most excitingly, Kate sheds light on the rewards of being part of a remote island community, musing on the resilient spirit of Scotland’s rugged outposts. Her trailblazing career shines bright, with hopes her experience will inspire the next generation of rural and remote specialists. So prepare your rain jacket and hiking boots for an episode packed with survival stories and insights from over 30 years as a rural Scottish GP. You can find out more about Kate's work here.

Joining us in this episode is the remarkably knowledgeable Amy Boalch, a GP trainee with an inexhaustible passion for sports, exercise medicine, and the gruelling world of long-distance running. From tackling the contentious issue of race clearance forms to the disparities in health screenings across borders, Amy brings us her invaluable perspective. She reveals the personal touches in her coaching life, the intricacies of medical advice versus coach guidance, and the nuanced understanding of both roles. We'll also uncover why France might seem like an overachiever when it comes to racing health certificates, and how Amy's love for running and her medico-athletic career blossomed in the serene city of Bath. Together, we grapple with the demands of learning on the job while pursuing advanced degrees and the ever-present shadow of doping controversies in sports. Most excitingly, Amy sheds light on the fervent race toward athletic glory, musing on the tantalising possibility of a sub two-hour marathon on the men’s side as the women continue to chase monumental strides. Her future shines bright with a finish line that involves integration of sports and exercise medicine into professional medical training and a trailblazing app geared towards runner preparedness. So tighten those laces and adjust your headphones for an episode packed with endurance, education, and expert insights. You can find out more about Amy's work here

In this episode we sit down with the multifaceted Tyler Butterworth, an Army National Guard member with an impressive resume including roles as an EMT, firefighter, police officer, detective, and farmer. Tyler, who has embraced his quirky last name "Butterworth duh syrup," brings to the table a unique perspective on using humour as an effective tool to cut through the tension in high-stress jobs, such as those in military service and emergency medicine. We'll uncover the uplifting story of how a squad leader's humorous approach made a world of difference in Tyler's day. We'll also discuss how choosing laughter over tears can be a valuable coping mechanism in tough situations. Tyler shares insights on reading the room to tailor your humour and the importance of knowing when to switch gears and be serious. We'll delve into the long-term benefits of good-natured fun on morale, mental health, and even on the homefront, as Tyler credits his wife's unwavering support as a pillar in maintaining his positivity and calm, even in the face of adversity.

In this episode, expedition medic Ben Cooper shares cautionary tales revealing why you should never skip basic wound care in the wilderness. You’ll hear the story of how a minor cut led to a man’s frostbitten thumb being partially amputated during an Antarctica summit attempt - costing him $70K! It powerfully spotlights why immediate bandaging matters. Discover essential strategies for backcountry wound management: Address patients’ full situation first before treating ("bodies before bandages”) Use Sharpies to monitor infections and antibiotic need Take daily wound photos to track healing progress Follow the “4 Ls” to assemble medical kits (Legal, Lightweight, Low-cost, Lots of uses) With insights for improvising care from sandwich bags to dental floss, plus tips on blister prevention, sun protection, and judging evacuation timing, it’s an eye-opening lesson in avoiding nasty medical complications off the grid. Tune in to hear cautionary tales and essential wound wisdom you’ll want etched on your brain before venturing into the wild!

Whether you're preparing for a high-altitude climb, running an ultramarathon, or embarking on a demanding expedition, today's episode is packed with wisdom that could be pivotal for your success. Joining us is Ben Turner, the Avenger coach, a former soldier turned extreme endurance challenger, ready to share his incredible insights into the fuel that drives exceptional physical feats. Ben's expertise stems from his profound personal journey through the challenges of nutrition and fitness. After serving in the British military, he faced the harsh realities of inadequate nutrition and bounced back by diving deep into evidence-based nutritional practices. As Ben guides us from high-calorie foods to the nuances of hydration and electrolytes, he uncovers the secrets to effective fuelling strategies tailored to lofty adventures. We'll unpack the vital role of macronutrients and micronutrients, decipher the myths surrounding common diet biases, and scrutinise the relationship between our food choices, our environment, and our overall health. Ben emphasises the need for a simple, balanced approach, with a strong focus on the fundamentals of good nutrition, minus the distraction of trendy "clickbaity" fads. We look at the importance of training your mind as much as your body, as Eoin and Ben explore the practicalities of preparing your digestive system for extreme conditions, the impact of biases on our understanding of health, and the paramount importance of individualised nutrition. Whether you're looking to manage weight, enhance performance, or simply maintain a healthy diet amidst your active lifestyle, this episode is an essential listen for anyone who wants to make food a cornerstone of their well-being.

In this episode we dive deep into the extraordinary experiences of Marc-David Munk, an emergency doctor who served as a flight surgeon in 11 East African countries. We explore his newly published book, Urgent Calls from Distant Places, which documents his time in Africa and the challenges he faced in providing healthcare amidst severe trauma, disease, and diverse pathology. Marc shares his journey from an uncertain university student to becoming a doctor, and ultimately finding his purpose in serving the medical needs of African communities. We unpack the themes of empathy, self-discovery, and the "hero's journey" within the context of extreme medicine. Join us to gain insights into Marc's compelling narrative and the profound impact of his experiences. You can order Urgent Calls from Distant Places January 30, 2024, There'll be a Kindle version on Amazon.

On this episode we have the pleasure of speaking with Gemma Aldridge, whose expertise as a practice development nurse and mountain leader fuels our conversation. Gemma brings to the table a unique blend of experience with young people, and an unyielding passion for expedition medicine. We're going to explore the multifaceted benefits of bringing young people into the great outdoors, where they can push their boundaries, develop essential life skills, and discover an inner resilience they may have never known they had. However, no adventure comes without its challenges. From adjusting to different diets and living in close quarters to the necessity of proper equipment and ensuring safety, Gemma will share her strategies for effectively managing these aspects, as well as her insights on the differences in adaptability between children raised in urban and outdoor environments. The importance of communication is also on the agenda. Our conversation with Gemma will uncover how she uses innovative devices and tactics to stay connected with her loved ones during her extended periods away, striking a balance between her adventurous spirit and her family commitments. Throughout the episode, we will touch upon serious topics such as managing disruptive behaviours and caring for ions serve not only as a path to growth for young people but also as a restorative escape for those who spend their lives helping others. We discuss the transformative power of nature, the sense of community on the trail, and those fireside chats that can change a life.

In this episode prepare to embark on a journey through John's vast experiences, from the intense heat of desert operations to the cruel cold of high-altitude rescues. Learn why a simple survival blanket or a strip of duct tape can make the difference between life and death. John will bring us into the heart of collaboration efforts with the Anchorage Fire Department, to save lives amidst the perils of Cook Inlet. John will enlighten us with his awe-inspiring sightings of the Northern Lights from plane altitudes and discuss mysterious unidentified flying objects. Dive deep into the physiological challenges faced during rescues on the world's highest peaks, reflecting on the striking difference between Denali and Everest. Listen in as we cover harrowing tales, like the 2010 plane crash involving Senator Stevens, intense weather conditions in western Alaska, and gruelling 18-hour high-altitude operations. We’ll also delve into the remarkable transitions John experienced throughout his career, his vital role as a Pararescueman in Afghanistan, and the mental resilience required to cope with PTSD and traumatic stress injuries. As we talk about shifts in military practices and the brave response to a bear mauling in Alaska, John will also impart invaluable advice for those aspiring to follow in his footsteps, emphasising commitment, teamwork, and a relentless drive to improve.